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ENVIRONMENTAL HEAT TH ruol vn rncmwr <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466.6781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> ;URAL FIRE DISTRIC': <br /> t BRUELLA RD. <br /> ACAMPD CA 95220 OPERATING PERMIT FOR UNDERGROUND <br /> Status. 01 STORAGE TANK FACILITY <br /> LIBERTY RURAL FIRE DISTRICT btHiY KURAL f1Rt 1)1SIli I <br /> 2$124 N. BRUELLA RD. TANK OWNER 4124 N. BRVELLA RD. <br /> ACAMPD CA 9520 ACAMPD CA 95220 <br /> NUMBER OF TANKS 04 <br /> Tani, Description Product Capacity LDM Status <br /> ---- ----------- --------- -------- --- ------ <br /> nooi TANKS RequIar 1 ,00+7 N <br /> 0002 TANKS Diesel 1,000 N <br /> 000:3 TANKS Regular 550 0i <br /> 0004 TANKS Diesel 550 01 <br /> CONDITIONS <br /> one 1) year <br /> 1. This permit expires in and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws,ordinances, regulations or statutes <br /> of other governmental agencies. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSrENDED OR REVOKED FOR CAUSE �.r <br />